Hematology/Oncology

Question 1

My legs and back are killing me

Answer 1

GA
Recheck pulse, resp
HEENT: Conjuntivae, fundo
PULM: Auscultate
CV: Palpate precordium, auscultate, pulses
ABD: Palpate for liver, palpate/percuss spleen
MSK: I/P/blunt percuss back, ROM back, I/P thighs, great toe strength, sharp/soft/dull foot, LE DTRs, inspect lower legs

Question 2

Legs hurt, gums bleeding, nosebleeds

Answer 2

GA
SKIN: Inspect for purpura/petechiae
HEENT: Inspect conjuntivae, nares, oral cavity
LYMPH: Cervical, supra/infraclavicular, axillary, inguinal, femoral
ABD: Palpate spleen, liver
MSK: I/P legs, knees

Question 3

Weird swelling in neck

Answer 3

GA
HEENT: I/P skin, scalp, mass, thyroid. Inspect oropharynx, palpate floor of mouth.
LYMPH: Full exam
ABD: Palpate 4Q, palpate liver, palpate/percuss spleen
GU: Testicular exam

Question 4

Tongue is burning, feet are tingling

Answer 4

GA
SKIN: Pallor? Turgor?
HEENT: Inspect conjunctivae, mouth/tongue
CV: Auscultate
NEURO: UE/LE sharp/soft/dull, UE/LE proprio/vibratory, Romberg, RAM (UE/LE), inspect gait